-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UZ1YQ+WSIZi67DHGfX2F+iDaKGxsiz4dpwx8phV5+ZGxcLqwJyhqaw+n0+4/L+cJ QbLdywMjJcGhFPs01I50dQ== 0001209191-04-005132.txt : 20040128 0001209191-04-005132.hdr.sgml : 20040128 20040128165342 ACCESSION NUMBER: 0001209191-04-005132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GREEN STEPHEN H CENTRAL INDEX KEY: 0001164422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19020 FILM NUMBER: 04549748 MAIL ADDRESS: STREET 1: 400 E. KALISTE SALOOM ROAD STREET 2: SUITE 3000 CITY: LAFAYETTE STATE: LA ZIP: 70508 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PETROQUEST ENERGY INC CENTRAL INDEX KEY: 0000872248 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 721440714 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 E KALISTE SALOOM RD SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 BUSINESS PHONE: 3372327028 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 FORMER COMPANY: FORMER CONFORMED NAME: OPTIMA PETROLEUM CORP DATE OF NAME CHANGE: 19950726 4 1 h12226_2shg.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-01-26 0 0000872248 PETROQUEST ENERGY INC PQUE 0001164422 GREEN STEPHEN H 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Senior VP - Exploration Incentive stock option (right to buy) 3.17 2004-01-26 4 A 0 15000 0 A 2004-01-26 2014-01-25 Common stock 15000 15000 D 10,000 shares vested on January 26, 2004; 5,000 shares will vest on September 21, 2004 /s/ Stephen H. Green 2004-01-28 -----END PRIVACY-ENHANCED MESSAGE-----